summary report: limited hazardous materials …
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SCA Project #: F12171 October 2016
SUMMARY REPORT: LIMITED HAZARDOUS MATERIALS SAMPLING SAN MATEO MEDICAL CENTER WATER TANK REPLACEMENT PROJECT 3701 HACIENDA STREET SAN MATEO, CA 94403
PREPARED BY:
650 DELANCEY STREET, SUITE 222 SAN FRANCISCO, CA 94107 TEL: (415) 882-1675 FAX: (415) 962-0736
HAZARDOUS MATERIALS SAMPLING
COUNTY OF SAN MATEO DEPARTMENT OF PUBLIC WORKS SAN MATEO MEDICAL CENTER
WATER TANK REPLACEMENT PROJECT 3701 HACIENDA STREET SAN MATEO, CA 94403
CONDUCTED FOR:
COUNTY OF SAN MATEO DEPARTMENT OF PUBLIC WORKS 555 COUNTY CENTER, 5TH FLOOR
REDWOOD CITY, CA 94063
SCA PROJECT NO.: F12171
REVIEWED & APPROVED BY:
CHRISTINA CODEMO, CHMM, CAC SR. PROJECT MANAGER
[email protected] 415-867-9540
CHUCK SIU, CAC, PE, CIH, CAC PRESIDENT
[email protected] 415-547-0572
SCA ENVIRONMENTAL, INC. 650 DELANCEY STREET, SUITE 222
SAN FRANCISCO, CA 94107 TEL: (415) 882-1675 FAX: (415) 962-0736
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171 page i
Table of Contents
1.0 Executive Summary ....................................................................................................... 1
2.0 Introduction .................................................................................................................... 3
3.0 Methodology .................................................................................................................. 5
3.1 Asbestos-Containing Construction Materials ............................................................ 5
3.3 Lead-Containing Paints ............................................................................................. 5
3.4 PCB Containing Items ................................................................................................ 5
4.0 Applicable Standards ...................................................................................................... 6
4.1 Asbestos-Containing Materials .................................................................................. 6
4.2 Naturally-Occurring Asbestos .................................................................................... 6
4.3 Lead-Containing Paints ............................................................................................. 7
4.4 PCB-Containing Items ............................................................................................... 8
5.0 Results and Conclusions ................................................................................................. 9
5.1 Asbestos in Building Materials .................................................................................. 9
5.3 Lead-Containing Paint Coatings ............................................................................... 9
5.4 PCB-Containing Items ............................................................................................. 10
6.0 Limitations and Exclusions ............................................................................................... 11
Table 1: Materials Matrix Report Attachments 1. Sample Location Diagrams 2. Asbestos Laboratory Reports 3. Lead and PCB Laboratory Reports
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171 Page 1
1.0 Executive Summary
This report summarizes the results of limited sampling of suspect hazardous materials including asbestos-containing construction materials, soils with naturally-occurring asbestos (NOA), lead-based paint, and polychlorinated biphenyls (PCBs) for the planned demolition and relocation of the San Mateo Medical Center (SMMC) Water Tower, located near 3701 Hacienda Street, San Mateo, CA. The sampling was conducted on September 27, 2016 by Tucker Kalman, CAC #15-5384, CDPH of SCA Environmental, Inc. (SCA). The planned activities include demolition of the existing water tower and its relocation approximately 50 feet to the northwest. In addition, new utility trenches will be excavated between the new water tower and the San Mateo County Medical Center in order to install electrical utilities and water lines. This activity will impact the soils around the water tower, fill material to a depth of 4 feet beneath the asphalt parking lot, and the asphalt parking lot and associated base rock. To evaluate the extent of hazardous materials present, SCA conducted sampling of the water tower for suspect asbestos-, lead-, and PCB-containing materials. In addition, sampling of the soils to be impacted as part of the project and base rock was conducted for naturally occurring asbestos (NOA) along the proposed trench lines and at the site of construction for the new water tower. The asphalt was also sampled to determine asbestos content.
The following summarizes the results.
Asbestos in Construction Materials
A summary of asbestos-containing materials and non-asbestos containing materials is tabulated in the Table: Materials Matrix Report (MMR). Note the following:
1. Only one material (caulking with mastic at the base of the steel water tank on top of the concrete platform, SCA Sample ID CAULK-1) was identified as having >1% asbestos.
2. No Trace (<1%) asbestos-containing materials were identified.
Prior to any renovations or demolition, the National Emission Standard for Hazardous Air Pollutants (NESHAP) mandated by the Environmental Protection Agency (EPA) and locally enforced by the Bay Area Air Quality Management District (BAAQMD) requires:
1. A structure be inspected for asbestos-containing materials prior to demolition; and 2. Asbestos containing materials subject to damage or which will be made friable be removed.
Identified asbestos-containing materials to be disturbed by the proposed renovations should be abated by an Asbestos Abatement Contractor following CalOSHA Class II work procedures Naturally-Occurring Asbestos in Soils No soils or base rock sampled were found to contain asbestos. Lead The yellow and green paints present on the water tower and steel tank were found to contain measurable concentrations of lead. Dust control procedures are required throughout the demolition/renovation of painted elements to comply with the Cal/OSHA regulations under 8 CCR 1532.1. Disposal of these items would be as non-hazardous waste given the total lead contents and/or
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171 Page 2
regulations regarding disposal of lead. Torching of coated metals requires spot abatement prior to such activities. Loose and peeling paints should be stabilized prior to demolition, and debris segregated from the waste stream and characterized to determine leachability prior to disposal. Disposal of these materials may be as RCRA or California hazardous waste pending receipt of analytical waste characterization data. Additional sampling and analysis for leachable lead content by the Consultant during demolition will be required for waste characterization. Polychlorinated Biphenyls (PCBs) No sampled materials were found to contain PCBs above the laboratory's detection limit of 0.5 parts per million (ppm), well below the hazardous waste standard of 50 ppm for PCB.
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171 Page 3
2.0 Introduction
This report summarizes the results of limited sampling for asbestos-containing construction materials, soils with naturally-occurring asbestos (NOA), lead-based paint, and PCBs at the SMMC Water Tower, 3701 Hacienda Street, San Mateo, CA. The sampling was conducted on September 27, 2016. The purpose of the limited sampling was to determine the presence of regulated and/or potentially hazardous materials in the Project area, that are required to be addressed in the planned demolition of the existing water tower, construction of a replacement water tower, and trenching of utility trenches to a depth of four feet bgs. Materials addressed in the survey include:
Asbestos-containing materials (ACM); Asbestos-containing construction materials (ACCM); Naturally-occurring asbestos (NOA) in soils to be disturbed and base rock; Lead in paints; and PCBs in building materials.
Individuals involved in the project, and their technical certifications, included:
SCA Staff Role Certifications Chuck Siu, PE, CIH, CSP, CAC, CDPH
Principal, Certified Industrial Hygienist
Certified Safety Professional (CSP# 23562) Certified Asbestos Consultant (CAC #92-0098); Certified Lead Inspector/Assessor, Project Designer & Project Monitor (CDPH #I/D/M-851); Professional (Civil) Engineer (PE #C59672); and Certified Industrial Hygienist (CIH #CP2697).
Christina Codemo, CHMM, CAC, REPA
Sr. Project Manager
Certified Hazardous Materials Manager (CHMM #9761) Certified Asbestos Consultant (CAC #99-2649); Certified Environmental and Safety Compliance Officer (CESCO #729032); and
Registered Environmental Property Assessor (REPA #953197)
Tucker Kalman, CAC, CDPH
Environmental Scientist
Certified Asbestos Consultant (CAC #15-5384); and Certified Lead Inspector/Assessor (CDPH #I/A-25870)
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171 Page 4
The following contract laboratories provided analytical services for the project: Laboratory Analysis Type Accreditation Reservoirs Environmental, Inc., Denver, CO
Polarized Light Microscopy (PLM) for Asbestos Analysis
National Voluntary Laboratory Accreditation Program (NVLAP)
Analytical Labs San Francisco, San Francisco, CA
PLM (CARB 435 methodology) for Asbestos Analysis
National Voluntary Laboratory Accreditation Program (NVLAP) California Environmental Laboratory Accreditation Program (ELAP)
McCampbell Analytical Pittsburgh, CA
Gas Chromatography-Electron Capture De-tector (GC-ECD) Poly-chlorinated Biphenyls Analysis Inductively Coupled Plasma Mass Spectrometry (ICP-MS) for Lead
California Environmental Laboratory Accreditation Program (ELAP).
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171 Page 5
3.0 Methodology
3.1 Asbestos-Containing Construction Materials Asbestos sampling was performed in a fashion designed to minimize exposure of the surveyor or occupants of surrounding buildings to airborne asbestos fibers. Samples were typically removed from the substrate utilizing a knife or chisel, the sample material was then placed into an airtight plastic vial. The vial's exterior was labeled with a unique sample I.D. The vial was then stored in a plastic bag. Samples of asphalt were collected with the assistance of a coring contractor to remove an intact core of asphalt and allow for access to the underlying base rock and soils. Water was applied during coring to prevent any dust generation. Samples of suspect materials were collected generally using triplicate sampling procedures. Under these procedures, the first sample is analyzed. If it tests positive for asbestos (>1%), the analysis is suspended for further samples of that material. If the first sample tests only trace positive (between 0.1 to 1%), or negative, then the second and third samples are analyzed sequentially, in order to determine the possible presence of asbestos. If all three samples test negative, the material is considered as non-asbestos. If one or more samples test "trace" positive (<1%), the material is considered to be trace positive. If one or more samples are positive for asbestos, the material is considered positive. All asbestos samples collected were submitted to Reservoirs Environmental, Inc., (REI) in Denver, Colorado for analysis by polarized light microscopy (PLM) with dispersion staining (DS/PLM). The Bay Area Air Quality Management District's (BAAQMD), the Federal Environmental Protection Agency's (EPA), and California Environmental Protection Agency's (Cal/EPA) regulations all specify the DS/PLM method. 3.2 Asbestos-Containing Soils and Baserock Sampling of soils and base rock for asbestos was performed in a fashion designed to minimize exposure to the surveyor or the occupants of surrounding buildings to airborne asbestos fibers. Samples were collected by utilizing a hand auger in order to bore to 4 feet below ground surface (bgs). Samples of soil and rocks were collected from the entire 4 foot column and composited into on sample. Baserock samples were collected at the surface of the soil where asphalt had been cored in the parking lot.
Upon collection, all samples were transferred to Ziploc plastic bags and transported to Analytical Labs of San Francisco (ALSF) under chain-of-custody documentation to be analyzed for asbestos using CARB 435 (1,200 point count). ALSF is an NVLAP- and ELAP-accredited facility for bulk asbestos analysis.
3.3 Lead-Containing Paints
Lead contents were measured by collection and analysis of bulk paint samples. Samples were ana-lyzed by EPA Method 6020 (ICP/MS) by McCampbell Analytical, Inc.
3.4 PCB Containing Items PCB content was measured by collection and analysis of bulk samples. Samples were analyzed by Gas Chromatography-Electron Capture Detector (GC-ECD) by McCampbell Analytical, Inc. by EPA Method 8082 with sulfuric acid permanganate (EPA 3665) cleanup.
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171 Page 6
4.0 Applicable Standards
4.1 Asbestos-Containing Materials ACM is defined by EPA regulations as those substances containing greater than 1% asbestos. The BAAQMD and the Cal/EPA provide local enforcement of these regulations. Friable ACM with greater than 1% asbestos needs to be disposed of as asbestos waste. Prior to renovation of a Building, the BAAQMD requires abatement of friable ACM, as well as non-friable ACM that may become friable during renovation (practically, this means all non-friable ACM). Federal Occupational Safety and Health Administrations (OSHA) regulations, locally enforced by CAL/OSHA, define ACM as substances that contain greater than 1% asbestos. Cal/OSHA also mandates special training, medical exams, personal protective equipment and record keeping for employees working with ACM. If a material contains less than 1% asbestos but more than 0.1% asbestos, the material may be disposed of as non-ACM, but the Cal/OSHA requirements would still have to be followed regarding workers' protection and Contractor licensing. "Trace" materials are currently regulated in California and require the following:
• Removal using wet methods; • Prohibition of removal using abrasive saws or methods which would aerosolize the
material; • Prompt clean-up of the impacted zone, using HEPA-filtered vacuums, as applicable; • Employer registration by Cal/OSHA for removal quantities exceeding 100 sq. ft. per
year; and • Cal/OSHA Carcinogen Registration by the Demolition or Abatement Contractor
impacting such materials.
4.2 Naturally-Occurring Asbestos Naturally occurring asbestos (NOA) has been identified in at least 44 of California's 58 counties. The Asbestos Airborne Toxic Control Measure (ATCM) for Construction, Grading, Quarrying and Surface Mining Operations was signed into State law on July 22, 2002, and became effective in the Bay Area Air Quality Management District (District) on November 19, 2002. The purpose of the regulation is to reduce public exposure to NOA from construction and mining activities that emit dust which may contain NOA. The ATCM requires regulated operations engaged in road construction and maintenance activities, construction and grading operations, and quarrying and surface mining operations in areas where NOA is likely to be found. If identified, the regulation includes requirements for the Contractor to employ dust mitigation measures in order to reduce and control dust emissions. Depending on the proposed use of the site and future construction activities, sampling at depth may be required to verify if NOA is present at the site. In addition, if asbestos concentrations exceed 1% asbestos, all work must be performed utilizing Class II work procedures with AHERA-trained personnel. Workers involved with removal of soil are required to adhere to all CalOSHA requirements (e.g., training, notifications to CalOSHA prior to work, personal monitoring, etc.).
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171 Page 7
4.3 Lead-Containing Paints Since elemental lead is a suspect carcinogen and known teratogen and neurotoxic in high doses, lead-containing materials need to be identified prior to the on-set of demolition activities. Using combinations of engineering controls and personal protective equipment, lead-containing materials can be removed safely. Several sources of applicable standards are listed as follows:
1. Lead exposures in the workplace are regulated by Cal/OSHA, which has certain regulatory requirements for identifying and controlling potential lead exposures. Currently applicable regulations for the construction industry have been adopted by Cal/OSHA (8 CCR 1532.1) from the Federal OSHA regulations. The current OSHA 8-hour Permissible Exposure Level (PEL) for lead is 50 µg/m3.
2. Current EPA and Cal/EPA regulations do not require LBP to be removed prior to
demolition, unless loose and peeling. Provided that the paint coatings are securely adhered to the substrates (i.e., non-flaking or non-peeling), disposal of intact demolition debris can generally be handled in California as non-hazardous and non-RCRA waste, pending receipt of waste characterization testing following demolition.
In California, loose and peeling LBP or other wastes require characterization and
testing for leachability. Disposal requirements are outlined as follows:
3. The major definitions of LBP or lead-coated surfaces are listed as follows:
a. HUD defines LBP as paint that contains either >0.5% by weight of lead, or >1 mg/cm2.
b. Consumer Product Safety Commission (CPSC) prohibits the manufacturing
of paint that contains more than 90 ppm of lead. Note that adherence to Cal/OSHA's Construction Lead Standard is required for all
paint with any measurable lead content.
Standards TTLCConcentations 1000 mg/kg
ConditionTotal Pb (mg/kg)
STLC Pb (mg/L)
TCLP Pb (mg/L)
Non-haz waste
CalHaz (Non-RCRA)
Fed Haz (RCRA)
1a <50 (a1) NA Yes no no no III1b <100 (a2) NA Yes no no no III
2a <5 <5 Yes (c) no no no III or II (d)2b >5 <5 no Yes no no I2c >5 >5 no Yes Yes Yes I
2d (b) <5 >5 no no Yes Yes I
3a <5 <5 No Yes No no I3b >5 <5 no Yes no no I3c >5 >5 no Yes Yes Yes I
3d (b) <5 >5 no no Yes Yes I4 any any >5 no no Yes Yes I
(a1) 50 = 10 x 5 (STLC for Pb). Per WET method, impossible to exceed STLC even if 100% soluble.(a2) 100 = 20 x 5 (TCLP for Pb). Per TCLP method, impossible to exceed STLC even if 100% soluble.(b) Physically impossible due to the stronger acid used in WET than TCLP.(c) Landfills will likely require documentation that TCLP is <5, even though TCLP is almost always less than WET.(d) Landfill dependent, function of permit, landfill liner, or landfill policy
50 to <1000
>1000
Leachable Lead5 mg/L
Test Methods & Results
Classification and Disposal of Inorganic Lead Wastes in California
ClassificationsStabilization
RequiredLandfill
Class
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171 Page 8
4. Lead is on the "Proposition 65" list, given its toxic potential in causing reproductive
hazards. 5. The California Department of Public Health (CDPH) requires the use of Certified
Lead Workers and Supervisors for lead abatement projects at public Buildings with a greater than 20 years expected life or whenever work is completed specifically to abate Lead-Based Paint as defined by HUD. The CDPH certification requirements do not apply to industrial sites; however, dust controls and personnel protection are still required under 17 CCR Sections 35001 through 36100.
4.4 PCB-Containing Items Cal/EPA regulates the disposal of PCB containing materials. Any PCB containing material over 1 ppm must be disposed of in accordance with Cal/EPA.
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171 Page 9
5.0 Results and Conclusions 5.1 Asbestos in Building Materials The detailed results (including quantities found in each location) are shown in the attached Table 1: Materials Matrix Report. Asbestos-sample locations are shown on drawings included as Attachment 1, and all analytical reports are included in Attachment 2.
1. Only one material (caulking with mastic at the base of the steel water tank on top of the concrete platform, SCA Sample ID CAULK-1) was identified as asbestos-containing as part of this investigation.
Prior to any renovations or demolition, the National Emission Standard for Hazardous Air Pollutants (NESHAP) mandated by the Environmental Protection Agency (EPA) and locally enforced by the Bay Area Air Quality Management District (BAAQMD) require:
1. A structure be inspected for asbestos-containing materials prior to demolition; and 2. Asbestos-containing materials subject to damage or which will be made friable be removed.
Identified asbestos-containing materials to be disturbed by the proposed renovations should be abated by an Asbestos Abatement Contractor following CalOSHA Class II work procedures.
5.2 Naturally-Occurring Asbestos in Soils No soils to a depth of 4 feet bgs or base rock sampled were found to contain asbestos above the labor-atory's detection limits. Results of the soil and base rock samples are included in Table 1: Materials Matrix Report. Asbestos-sample locations are shown on drawings included as Attachment 1, and all analytical reports are in-cluded in Attachment 2. 5.3 Lead-Containing Paint Coatings Results of the bulk samples collected are included in Table 1: Materials Matrix Report and laboratory reports are included in Attachment 3. The yellow and green paint samples collected were found to contain measurable concentrations of lead. Concentrations ranged from 180 to 880 milligrams per kilogram (mg/kg). As lead was identified in the paints, for the purpose of complying with the Cal/OSHA lead in construction regulation (8 CCR 1532.1), all coated surfaces shall be considered to contain some lead and require demolition dust control procedures for compliance with Cal/OSHA's Construction Lead Standard under 8 CCR 1532.1. The aforementioned regulation contains requirements for lead air monitoring, work practices, respiratory protection, etc., that are triggered by the presence of even very low levels of lead. In addition, based on the California Total Threshold Level Concentration (TTLC) hazardous waste standard, the paints may be classified as hazardous wastes. Additional sampling and analysis for leachable lead content by the Contractor during demolition will be required for waste characterization. Disposal of these materials may be as RCRA or California hazardous waste pending receipt of analytical waste characterization data.
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171 Page 10
None of the applicable regulations require removal of lead paint prior to renovation if the paint are securely adhered to the substrates (i.e., non-flaking or non-peeling). Disposal of the demolition debris in this case can be handled as non-hazardous and non-RCRA waste after the loose and flaking paint have been removed, as long as demolition practices do not compromise worker safety. Conventional demolition techniques should be employed for all painted surfaces with the Contractor complying with applicable OSHA and Cal/OSHA statutes regarding:
• Worker awareness training; • Exposure monitoring, as needed; • Medical examinations, which may include blood lead level testing; and • Establishing a written respiratory protection program.
5.4 PCB-Containing Items No sampled materials were found to contain PCBs above the laboratory's detection limit of 0.5 ppm. Results of the bulk samples collected are included in Table 1: Materials Matrix Report and laboratory reports are included in Attachment 3.
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171 Page 11
6.0 Limitations and Exclusions
SCA warrants that this survey was performed using due care and state of the art techniques. Beyond this, SCA does not warrant or guarantee the survey. Despite the care exercised, some materials may not have been identified, or may have been incompletely identified. This condition may occur due to renovations or original construction practices that concealed older materials, and/or visually similar materials with different compositions. This document is not a stand-alone document; abatement of materials is recommended to be completed under the oversight and design of an AHERA-accredited Project Designer and Certified Asbestos Consultant. Although due care is exercised in the course of the survey, concealed materials may be found in the course of performing the abatement or demolition; a contingency budget should be included in any cost estimates prepared to cover unexpected conditions.
Sub-sample #
Material ID Material Description A B C
Asbestos Positive? Yes. No. Trace. Assumed U
NIT
S (
LF
, S
F, E
A)
Wat
er T
ower
Par
kin
g L
ot
TO
TA
L (
+/-
15%
)
ASBESTOS
CAULK-1Grey painted off white caulking over black mastic around the base of the steel water tower on top of the concrete walking platform.
15% CH NA NA
PositiveLF 65 65
NON-ASBESTOSYW-2 Yellow paint on steel water tower ND SF 2850 2850GR-3 Green paint on steel water tower and concrete support structure ND SF 2000 2000CONC-4 Concrete for concrete support structure. Painted green. ND SF 1200 1200CONC-5 Concrete for small pit at the southern end of water tower ND SF 100 100ASPHALT-6 4" thick asphalt in parking lot that the electrical trench will pass through ND ND SF 20000 20000BROCK-7 6" thick layer of base rock and sand mixture underneath ASPHALT-6 ND ND SF 20000 20000
B-1,2,3Soils to a depth of 4 ft bgs beneath the proposed water tower location and trenching locations in parking lot ND ND ND SF 20000 20000
PCBs PPM
CAULK-1Grey painted off white caulking over black mastic around the base of the steel water tower on top of the concrete support structure <0.5 LF 65 65
LEAD PPM
YW-2 Yellow paint on steel water tower 180, lead SF 2850 2850GR-3 Green paint on steel water tower and concrete support structure 880, lead SF 2000 2000
CH = Chrysotile; ND = Not detected; NA = Not analyzed
Table 1: Materials Matrix Report- SMMC Water Tower
Negative
SCA Project No. F12171 Surveyed September 27, 2016
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171
Attachment 1
Sample Location Diagrams
Figure 1: Soils, Asphalt, and Baserock SampleLocationsSan Mateo Health Center Water Tank SurveySCA Project No.: F12171October 2016
B-1
B-2 ASPHALT-6-1 BROCK-7-1 B-3
ASPHALT-6-2 BROCK-7-2
Figure 2: Asbestos, Lead, PCB SampleLocationsSan Mateo Health Center Water Tank SurveySCA Project No.: F12171October 2016
CAULK-1-1 CAULK-1
CAULK-1-2
CAULK-1-3
YW-2-1 YW-2 GR-3-1
GR-3
CONC-4-1
CONC-5-1
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171
Attachment 2
Asbestos Laboratory Reports
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective January 1, 2015
T:\QAQC\Lab\Reservoirs Environmental QA Manual.doc
Subcontract Number: NA
Laboratory Report: RES 361873-1
Project # / P.O. # F12171
Project Description: SMHC Water Tower
RES 361873-1
Sincerely,
is the job number assigned to this study. This report is considered highly confidential
and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with
personnel other than those of the client. The results described in this report only apply to the samples analyzed.
This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the
U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs
Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any
questions about this report, please feel free to call 303-964-1986.
Jeanne Spencer
President
October 1, 2016
Dear Customer,
Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and
Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0
for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American
Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast
Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs
respectively.
Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The
analysis has been completed in general accordance with the appropriate methodology as stated in the attached
analysis table. The results have been submitted to your office.
SCA Environmental, Inc.
650 Delancey St. Ste. 222
San Fransisco CA 94107
P: 303-964-1986
F: 303-477-4275
5801 Logan Street, Suite 100 Denver, CO 80216
Page 1 of 1
1-866-RESI-ENV
www.reilab.com
RES Job Number:
Client:
Client Project Number / P.O.:
Client Project Description:
Date Samples Received:
Turnaround:
Date Samples Analyzed:
RES 361873-1
SCA Environmental, Inc.
F12171
SMHC Water Tower
September 28, 2016
3 Day
October 01, 2016
TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
Reservoirs Environmental, Inc.
Reservoirs Environmental QA Manual
Effective January 1, 2015
Q:\QAQC\LAB\Reservoirs Environmental QA Manual.doc
RESERVOIRS ENVIRONMENTAL INC.
NVLAP Lab Code 101896-0
Client
Sample
Number
Lab
ID Number
LAYER
Mineral
Method: EPA 600/R-93/116 - Short Report, Bulk
PhysicalDescription
SubPart
(%)
Visual
Estimate
(%)
ND=None DetectedTR=Trace, <1% Visual EstimateTrem/Act=Tremolite/Actinolite
NonAsbestosFibrous
Components(%)
Non-Fibrous
Components
(%)
Asbestos Content
85TRCAULK-1-1 EM 1715375 Black fibrous tarA 20 15 Chrysotile
1000White w/ gray paintB 80 ND
CAULK-1-2 EM 1715376 Not Analyzed per Client Request.
CAULK-1-3 EM 1715377 Not Analyzed per Client Request.
1000YW-2-1 EM 1715378 Green/off white paintA 100 ND
1000GR-3-1 EM 1715379 Green paintA 100 ND
1000CONC-4-1 EM 1715380 White plaster w/ green paintA 8 ND
1000Gray granular cementitious materialB 92 ND
1000CONC-5-1 (Labeled CONC-4-1/Duplicate Sample ID)
EM 1715381 Gray granular cementitious material w/ green/silver paintA 100 ND
1000ASPHALT-6-1 EM 1715382 Black granular tarA 100 ND
1000ASPHALT-6-2 EM 1715383 Black granular tarA 100 ND
TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Analyst / Data QAAnalystAnalystAnalystAnalyst
P: 303-964-1986
F: 303-477-4275
1-866-RESI-ENV
www.reilab.com
5801 Logan Street, Suite 100, Denver, CO 80216
Page 1 of 1
RES $1873 Due Dali~~~O:r' Due Time:_~...J...'-"' __ = I a.. __ RE?serV"alr!!fii ErlvlrCl",..,..e,-,tal. Irlc.
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-- 650 Delancey St. 51e. 222 ~ San Franslsco CO 94107
F12111
SMHC Water Tower
jPLM I PCU I TEU
~S: Weekdays: 7am H (Same Day) _ PRIORITY (
;3t. 8am • 5pm .,LSTANDARD (5 O. y)
,....-<?1"'l"j - J --" -2IIr, _.
ICHEM "' .... 11..1/ DUl l '-'
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~ISFANALYTICAL LABS SAN FRANCISCO INC.
POLARIZED LIGHT MICROSCOPY ANAL YSIS FOR ASBESTOS CONTENT (CARB 435)
Client:
Project#: Project:
SCA ENVIRONMENTAL, INC.
650 DELANCEY ST. #222
SAN FRANCISCO, CA 94107
F12171
SMHC WATER TOWER
5 Sample(s) Analyzed 5 Sample(s) Received 9127/16 17:00
Report Number: CI22801
Date: SEPTEMBER 28, 2016
Analyst: OLGA KIST Date Analyzed: SEPTEMBER 28,2016
Sample Collector: TUCKER KALMAN
Collection Date: SEPTEMBER 27,2016
o Sample(s) containing Asbestos
ASBESTOS
Sample # Location I Description Type and Range % or
NONE DETECTED
NONASBESTOS
Other Fibers (%) Balance
1.8-1
2. B-2
3.8-3
A) OCHRE-GOLD SANDY SOIL WITH PLANTI NONE DETECTED
WOOD DEBRIS, SANDSTONE AND RED-WHITE
ROCKS
B) YELLOW PAINT
BROWN CLAY SOIL WITH GRAY-WHITE-BLACK
MOTTLED AND BROWN ROCKS
BROWN CLAY SOIL WITH BROWN AND GRAY
WHITE-BLACK MOTILED ROCKS
NONE DETECTED
NONE DETECTED
NONE DETECTED
CELL 1-3, IRON OXIDES, Sill, OPAQUES,
ORGANICS, SYN, MISC.
CELL <1, Sill, MICA, IRON OXIDES,
OPAQUES, MISC.
CELL <1, Sill, MICA, IRON OXIDES,
OPAQUES, MISC.
4. BROCK-7-1 GRAY SOIL AND GRAVEL OF WHITE-GRAY-BLACK NONE DETECTED
MOTILEDROCK
Sill, OPAQUES, MICA, MISC.
5. BROCK-7-2 GRAY SAND AND GRAVEL OF WHITE-GRAY
YELLOW-GREEN-BLACK MOTTLED ROCK
NONE DETECTED GL <1, Sill, OPAQUES, MICA, MISC.
100316 LABORATORY BLANK (1866 GLASS FIBERS) NONE DETECTED
ASBESTOS TYPES NONASBESTOS CHRYS: Chrysotile CELL: Cellulose POLY: Polyethylene AMOS: Amosite GL: FiberglasslMineral Wool FTALC: Fibrous Talc CROC: Crocidolite SYN: Synthetic FGYP: Fibrous Gypsum TREM: Tremolite/Actinolite CARB: Carbonates FELD: Feldspar ANTH: Anthophyllite Sill: Mixed Silicates CASI: Calcium Silicates
Bulk samples analyzed in accordance with "Methodfor the Determination of Asbestos in Bulk Building Materials" EPAI600IR-931116, July 1993. The detection limit is 1%. Quantitation of asbe.ftos is by calibrated visual estimation. Analytical Labs San Francisco, Inc. (ALSF) is recognized WIder the National Laboratory Accreditation Program for salis/acla", compliance with criteria established in Title 15, Part 7 code a/Federal Regulations and accredited/or bulk asbestosjiberanalysis (NVl.AP lab code: 10/909-0). Asbestosjibers less than 0.2 microns can
t not be reproduced except in/u/J, withoullhe written approval of ALSF and pertains only 10 the samples analyzed.
AUTHORIZED SIGNATURE~~=,-,,~~~...::;L....;!;...;:>o,;'-'T-__ DATE ---=--, O~/.....;:.3+f;......;;~_ venue, San Francisco, CA 94110 (415) 552-4595 FAX 552-0730
A IS FANAL YTICAL LABS SAN FRANCISCO INC. ~ 467 Potrero Avenue. Son Francisco. CA 94110 (415) 552-4595 FAX 552.(J730
CLIENT:
Project No.: Project:
SAMPLE NO.
RESULT
1. B-1
NONE DETECTED
2. B-2
NONE DETECTED
3.8-3
NONE DETECTED
4. BROCK-7-1
NONE DETECTED
5. BROCK-7-2
NONE DETECTED
QUANTITATION OF ASBESTOS CONTENT USING POINT COUNTING METHOD AND POLARIZED LIGHT MICROSCOPY (CARB 435)
REPORT #: C122801.PT SCA ENVIRONMENTAL, INC.
650 DELANCEY ST. #222 SAN FRANCISCO, CA 94107
DATE COMPLETED: OCTOBER 3, 2016 ANALYST: O. KIST
F12171 SUPPLEMENTAL TO: SMHC WATER TOWER PLM BULK REPORT CI22801
ASBESTOS STATISTICAL DESCRIPTION TOTAL AREA PERCENT BY LIMIT
POINTS POINT-COUNTING
A) OCHRE-GOLD SANDY SOIL WITH PLANTI 1200 <0.08% 0.08% WOOD DEBRIS, SANDSTONE AND RED-WHITE ROCKS
BROWN CLAY SOIL WITH GRA Y-WHITE-BLACK 1200 <0.08% 0.08% MOTTLED AND BROWN ROCKS
BROWN CLAY SOIL WITH BROWN AND GRAY- 1200 <0.08% 0.08% WHITE-BLACK MOTTLED ROCKS
GRAY SOIL AND GRAVEL OF WHITE-GRAY-BLACI< 1200 0.08% 0.08% MOTTLED ROCK
GRAY SAND AND GRAVEL OF WHITE-GRAY- 1200 <0.08% 0.08% YELLOW-GREEN-BLACK MOTTLED ROCK
AUTHORIZED SIGNATURE_~~"",",--~' ~-~~'-boi..l.oot'A:;.w:z.,,~i~ _____ _
DATE_~~/O~3~/~~ ______ __
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1-__ '1_' "_'_L'_'_" ________________________________ ----tEmail rpl! ~C & invoice:
:F-~\'\.\L HEADI~G: (pr~iect #) - (Project Manager 100uals) (Site Name/Address) (Date M~1DD) -T"I I ""'~ @scaehs.com
'l"Crll1/11 )lH t~L ~t~~ -, [email protected] r c.. C ,--_. 097.. Email Prj Mgr Nao;~ .. ',,; .. m:'}
~ J ~ 5;7:. Chuck Siu Glenn ~ Christina C~
~ ./1( Accounting Data: ~OURIER
L\R REP ~OTlF'ED 1-__ ......... ......;--1 N6tiflcation DATE/TIME I-___ ......;c:---.._...:.... ________ -t
AIRBILL-FLIGHT NO. - Shipper REFERENCE 1.0 \-___ ---:==-________ , ___ EST ARRIVAL TI:VIE L----......;-=;;;.. __ =---------i EST ARRIV AL DATE
~Itlhod Rererence 7400PCM AHERATDI y; ~ ('JJt~~CDe~ PDt (asbestos) Flame AA (Lead) "L..f1"'lt. v~,~
Sample Media 25 37 mm 0.45 0.8 micron MCEF Bulk Water W' e S"' 0: I ) RESULTS DUE: ~ {Jed. ..LI.L DU
~IIAIN OF C(jSTODY DAT ~ ( /J S<udoog loro -p-",mples "bmilled b( -& (SeA).o ~"2~ J Recei~'ed by Lab: --2- samples received by on ~ at ~ Received by Analyst: S' samples received by ~ on /,1\ at V'
~"\l\1PLE ID LITERS Results l~ankslOuts
l1-[ ". 5tDpU'''' I
8-3 - Y.j BllcJU:- 7-f 1... ,,/ - zi, S-
J
o LlTERS BLA~K
IlLITERS BLANK
o LITERS BLANK ~NSTRtlCTIONS TO LAB (delete items not applicable A~D circle items apSli ~
I PIckup requeste~: II. :_ Contacl: ______________ _
Time of Call _______________ _
2. Call SCA', contact to acknowledge receillt ofsamples. J .. -\nalyze samples by reM only. 4, Analyze inside samples by l)eM lirst; ifany sample >0,01 flce, contact SCA S. H all samples are <0.01 f/cr:, proceed with items 6. 7 or 8, as noted. 6. Analyze inside samples only; stop jf Avg >70 str/mm"2. contact SCA before analyzing oUlSides or blanks. 7. Analyze all samples. including outside samples and blanks.
8.00 I'iOT analyze outside or blank samples.
9 . ..\nlllyze by TEM only the inside llir sample with the highest PC~I result. 10. Serial analysis; stop at first positive l>~st trace «0.1 %):cxcept sheetrock and plaster samples.
-u,. ~\n:llyze nil bul" samnl"~, unl~..mherwise indicated. 3. For AHERA TEM. only rcpon regulated asbestos. 12. POfLlmit of Detcction <I ppm
Report Nllntcr:& 28 0 1· [Supplies IEquipment Qty IIi-Vol (3040)
rl _L_o_.V_o_I_(~_,O_~_O_) ________ __i-------------------
Invoice l'iumber: (C I 2 2 B 0 I. 41...J-_T_E_~_l!_p_b_c_ass_e_tt_es_'_3)_-Z_O_) -+---------1 PCM cassettes PSOO) _
Bulk sampling supply (371 0) ~
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0-=
vcr 2011
Summary Report: Limited Hazardous Materials Sampling SMMC Water Tower Project, 3701 Hacienda Street, San Mateo, CA SCA Project No.: F12171
Attachment 3
Lead and PCB Laboratory Reports
WorkOrder:
Report Created for: SCA Environmental, Inc.
1 Lakeside Drive, Suite 215Oakland, CA 94612
Project Contact: Tucker Kalman
Project Name: F12171; SMHC Water TowerProject P.O.:
Project Received: 09/27/2016
Analytical Report reviewed & approved for release on 10/03/2016 by:
Angela Rydelius,Laboratory Manager
1609C30
The report shall not be reproduced except in full, without the written
approval of the laboratory. The analytical results relate only to the
items tested. Results reported conform to the most current NELAP
standards, where applicable, unless otherwise stated in the case
narrative.
Analytical Report
1534 Willow Pass Rd. Pittsburg, CA 94565 ♦ TEL: (877) 252-9262 ♦ FAX: (925) 252-9269 ♦ www.mccampbell.comCA ELAP 1644 ♦ NELAP 4033ORELAP
McCampbell Analytical, Inc."When Quality Counts"
Page 1 of 10
Glossary of Terms & Qualifier Definitions
Client: SCA Environmental, Inc.Project: F12171; SMHC Water TowerWorkOrder: 1609C30
McCampbell Analytical, Inc.1534 Willow Pass Road, Pittsburg, CA 94565-1701
Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269http://www.mccampbell.com / E-mail: [email protected]"When Quality Counts"
Glossary Abbreviation
%D Serial Dilution Percent Difference95% Interval 95% Confident IntervalDF Dilution FactorDI WET (DISTLC) Waste Extraction Test using DI waterDISS Dissolved (direct analysis of 0.45 µm filtered and acidified water sample)DLT Dilution Test (Serial Dilution)DUP DuplicateEDL Estimated Detection LimitITEF International Toxicity Equivalence FactorLCS Laboratory Control SampleMB Method BlankMB % Rec % Recovery of Surrogate in Method Blank, if applicableMDL Method Detection LimitML Minimum Level of QuantitationMS Matrix SpikeMSD Matrix Spike DuplicateN/A Not ApplicableND Not detected at or above the indicated MDL or RLNR Data Not Reported due to matrix interference or insufficient sample amount.PDS Post Digestion SpikePDSD Post Digestion Spike DuplicatePF Prep FactorRD Relative DifferenceRL Reporting Limit (The RL is the lowest calibration standard in a multipoint calibration.)RPD Relative Percent DeviationRRT Relative Retention TimeSPK Val Spike ValueSPKRef Val Spike Reference ValueSPLP Synthetic Precipitation Leachate ProcedureST Sorbent TubeTCLP Toxicity Characteristic Leachate ProcedureTEQ Toxicity EquivalentsWET (STLC) Waste Extraction Test (Soluble Threshold Limit Concentration)
Analytical Qualifiers
a4 reporting limits raised due to the sample's matrix prohibiting a full volume extraction.h4 sulfuric acid permanganate (EPA 3665) cleanup
Page 2 of 10
Analytical Report
McCampbell Analytical, Inc.1534 Willow Pass Road, Pittsburg, CA 94565-1701
Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269http://www.mccampbell.com / E-mail: [email protected]"When Quality Counts"
Client: SCA Environmental, Inc.
Project: F12171; SMHC Water Tower
Date Received: 9/27/16 18:30Date Prepared: 9/27/16
WorkOrder: 1609C30Extraction Method: SW3550BAnalytical Method: SW8082Unit: mg/kg
Polychlorinated Biphenyls (PCBs) Aroclors
CAULK-1 1609C30-001A Solid 09/27/2016 GC22 127167
Analytes Result DF Date AnalyzedRL
Client ID Lab ID Matrix Date Collected Instrument Batch ID
Aroclor1016 ND 0.50 1 09/28/2016 19:18Aroclor1221 ND 0.50 1 09/28/2016 19:18Aroclor1232 ND 0.50 1 09/28/2016 19:18Aroclor1242 ND 0.50 1 09/28/2016 19:18Aroclor1248 ND 0.50 1 09/28/2016 19:18Aroclor1254 ND 0.50 1 09/28/2016 19:18Aroclor1260 ND 0.50 1 09/28/2016 19:18PCBs, total ND 0.50 1 09/28/2016 19:18
Surrogates REC (%) Limits
Analytical Comments: h4,a4Analyst(s): CK
Decachlorobiphenyl 103 70-130 09/28/2016 19:18
Angela Rydelius, Lab ManagerNELAP 4033ORELAP
Page 3 of 10
Analytical Report
McCampbell Analytical, Inc.1534 Willow Pass Road, Pittsburg, CA 94565-1701
Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269http://www.mccampbell.com / E-mail: [email protected]"When Quality Counts"
Client: SCA Environmental, Inc.
Project: F12171; SMHC Water Tower
Date Received: 9/27/16 18:30Date Prepared: 9/27/16
WorkOrder: 1609C30Extraction Method: SW3050BAnalytical Method: SW6020Unit: mg/Kg
Lead
GR-3 1609C30-002A Solid 09/27/2016 ICP-MS3 127224
Analytes Result DF Date AnalyzedRL
Client ID Lab ID Matrix Date Collected Instrument Batch ID
Lead 880 5.0 10 09/29/2016 14:55
Surrogates REC (%) Limits
Analyst(s): MIG
Terbium 104 70-130 09/29/2016 14:55
YW-2 1609C30-003A Solid 09/27/2016 ICP-MS3 127224
Analytes Result DF Date AnalyzedRL
Client ID Lab ID Matrix Date Collected Instrument Batch ID
Lead 180 5.0 10 09/29/2016 15:01
Surrogates REC (%) Limits
Analyst(s): MIG
Terbium 97 70-130 09/29/2016 15:01
Angela Rydelius, Lab ManagerCDPH ELAP 1644 • NELAP 4033ORELAP
Page 4 of 10
Quality Control Report
McCampbell Analytical, Inc.1534 Willow Pass Road, Pittsburg, CA 94565-1701
Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269http://www.mccampbell.com / E-mail: [email protected]"When Quality Counts"
Client: SCA Environmental, Inc.
Project: F12171; SMHC Water Tower
Date Analyzed: 9/27/16 - 9/28/16Date Prepared: 9/26/16
WorkOrder: 1609C30BatchID: 127167
Analytical Method: SW8082Unit: mg/kgSample ID: MB/LCS-127167
1609B69-003AMS/MSD
Instrument: GC23Matrix: Soil
Extraction Method: SW3550B
QC Summary Report for SW8082
Analyte MB
Result
LCS
Result
RL SPK
Val
MB SS
%REC
LCS
%REC
LCS
Limits
Aroclor1016 ND - 0.050 - - - -Aroclor1221 ND - 0.050 - - - -Aroclor1232 ND - 0.050 - - - -Aroclor1242 ND - 0.050 - - - -Aroclor1248 ND - 0.050 - - - -Aroclor1254 ND - 0.050 - - - -Aroclor1260 ND 0.176 0.050 0.15 - 118 70-130PCBs, total ND - 0.050 - - - -
Surrogate Recovery
Decachlorobiphenyl 0.0482 0.0541 0.050 96 108 70-130
Analyte MS
Result
MSD
Result
SPK
Val
SPKRef
Val
MS
%REC
MSD
%REC
MS/MSD
Limits
RPD RPD
Limit
Aroclor1260 0.150 0.153 0.15 ND 100 102 70-130 1.82 20
Surrogate Recovery
Decachlorobiphenyl 0.0490 0.0494 0.050 98 99 70-130 0.785 20
QA/QC OfficerNELAP 4033ORELAPPage 5 of 10
Quality Control Report
McCampbell Analytical, Inc.1534 Willow Pass Road, Pittsburg, CA 94565-1701
Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269http://www.mccampbell.com / E-mail: [email protected]"When Quality Counts"
Client: SCA Environmental, Inc.
Project: F12171; SMHC Water Tower
Date Analyzed: 9/28/16Date Prepared: 9/27/16
WorkOrder: 1609C30BatchID: 127224
Analytical Method: SW6020Unit: mg/KgSample ID: MB/LCS-127224
1609C15-001AMS/MSD
Instrument: ICP-MS2Matrix: Soil
Extraction Method: SW3050B
QC Summary Report for Metals
Analyte MB
Result
LCS
Result
RL SPK
Val
MB SS
%REC
LCS
%REC
LCS
Limits
Lead ND 44.4 0.50 50 - 89 75-125
Surrogate Recovery
Terbium 516 444 500 103 89 70-130
Analyte MS
Result
MSD
Result
SPK
Val
SPKRef
Val
MS
%REC
MSD
%REC
MS/MSD
Limits
RPD RPD
Limit
Lead 58.1 60.6 50 8.560 99 104 75-125 4.14 20
Surrogate Recovery
Terbium 488 510 500 98 102 70-130 4.41 20
Analyte DLT
Result
DLTRef
Val
%D %D
Limit
Lead 8.58 8.560 0.234 -
%D Control Limit applied to analytes with concentrations greater than 25 times the reporting limits.
QA/QC OfficerCDPH ELAP 1644 • NELAP 4033ORELAPPage 6 of 10
McCampbell Analytical, Inc.1534 Willow Pass RdPittsburg, CA 94565-1701(925) 252-9262
CHAIN-OF-CUSTODY RECORD Page
Lab ID Matrix Collection Date Hold
Requested Tests (See legend below)
Report to:
Tucker Kalman
1 Lakeside Drive, Suite 215Oakland, CA 94612(510) 645-6200 FAX: (510) 839- 6200
PO:
09/27/2016
Client ID
ProjectNo: F12171; SMHC Water Tower
WorkOrder: 1609C30
1 of 1
Date Logged:
Date Received: 09/27/2016
1 2 3 4 5 6 7 8 9 10 11 12
SCA Environmental, Inc.
Bill to:
Accounts PayableSCA Environmental, Inc.1 Lakeside Drive, Suite 215Oakland, CA 94612
Requested TAT: 5 days;
ClientCode: SCAO
Email: [email protected]; pgervasio@scaehs.
EDF EQuIS Email HardCopy ThirdParty
[email protected];pgervasio@scaehs
Excel J-flagWriteOn
cc/3rd Party: [email protected];
WaterTrax
A1609C30-001 Solid 9/27/2016 00:00CAULK-11609C30-002 Solid 9/27/2016 00:00GR-3 A1609C30-003 Solid 9/27/2016 00:00YW-2 A
Prepared by: Agustina Venegas
NOTE: Soil samples are discarded 60 days after results are reported unless other arrangements are made (Water samples are 30 days). Hazardous samples will be returned to client or disposed of at client expense.
Comments:
8082_PCB_ESL_Solid PBMS_TTLC_S1 2 3 4
5 6 7 8
9 10
Test Legend:
11 12
Page 7 of 10
Lab ID Client ID Collection Date
& Time
Date Logged:
TATMatrix Test Name Containers
/Composites
WORK ORDER SUMMARY
Work Order: 1609C30
Comments:
Client Name: SCA ENVIRONMENTAL, INC. Project: F12171; SMHC Water TowerQC Level: LEVEL 2
HoldDe-
chlorinated
SubOutBottle & Preservative
9/27/2016
Sediment
Content
EDF Fax Email HardCopy ThirdPartyExcel J-flagWriteOn
Tucker KalmanClient Contact:
[email protected]; [email protected]'s Email:
WaterTrax
McCampbell Analytical, Inc.1534 Willow Pass Road, Pittsburg, CA 94565-1701
Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269http://www.mccampbell.com / E-mail: [email protected]"When Quality Counts"
1609C30-001A CAULK-1 9/27/2016 5 daysSolid SW8082 (PCBs Only) 1 2OZ PJ
1609C30-002A GR-3 9/27/2016 5 daysSolid SW6020 (Lead) 1 2OZ PJ
1609C30-003A YW-2 9/27/2016 5 daysSolid SW6020 (Lead) 1 2OZ PJ
1 of 1Page
- STLC and TCLP extractions require 2 days to complete; therefore, all TATs begin after the extraction is completed (i.e., One-day TAT yields results
in 3 days from sample submission).
NOTES:
- MAI assumes that all material present in the provided sampling container is considered part of the sample - MAI does not exclude any material
from the sample prior to sample preparation unless requested in writing by the client.
Page 8 of 10
Page 9 of 10
\1 o~q c? o Qf!iJ McCampbell Analytical, Inc. C t-vAIN OF CUSTODY RECORD
TURN AROU:~~:~;;::ro 24 1'1R048 HR0 72 HR E~AY .,,~ 1534 Willow Pass Rd. / Pittsburg, Co. 94565-1701 0
www.mccampbell.com / ma [email protected] GcoTr"cker EOI' PDF ' DO 0 Wri te On (DW)O EQlI lSQ
Telephone: (877) 252-9262 / Fax: (925) 252-9269 EfIlucn l Slllll ili c Req ui rin g ",J" llagO UST Clc.1Il Up Fu nd Pl'ojee l Q; Clai m 1#
Renort To: Bill To: SCI/- AIMlys is ilc lI est Company: ( rA-
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Sample Receipt Checklist
McCampbell Analytical, Inc.1534 Willow Pass Road, Pittsburg, CA 94565-1701
Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269http://www.mccampbell.com / E-mail: [email protected]"When Quality Counts"
Client Name: SCA Environmental, Inc.
WorkOrder №: 1609C30
Date Logged: 9/27/2016
Logged by: Agustina VenegasMatrix: SolidCarrier: Benjamin Yslas (MAI Courier)
Shipping container/cooler in good condition? Yes No
Custody seals intact on shipping container/cooler? Yes No NA
Samples Received on Ice? Yes No
Chain of custody present? Yes No
Chain of custody signed when relinquished and received? Yes No
Chain of custody agrees with sample labels? Yes No
Samples in proper containers/bottles? Yes No
Sample containers intact? Yes No
Sufficient sample volume for indicated test? Yes No
All samples received within holding time? Yes No
NASample/Temp Blank temperature
Yes No NAWater - VOA vials have zero headspace / no bubbles?
pH acceptable upon receipt (Metal: <2; 522: <4; 218.7: >8)? Yes No NA
Temp:
Chain of Custody (COC) Information
Yes NoSample IDs noted by Client on COC?
Yes NoDate and Time of collection noted by Client on COC?
Yes NoSampler's name noted on COC?
Sample Receipt Information
Sample Preservation and Hold Time (HT) Information
Sample labels checked for correct preservation? Yes No
Project Name: F12171; SMHC Water Tower
Comments:
Total Chlorine tested and acceptable upon receipt for EPA 522? Yes No NAUCMR3 Samples:
Free Chlorine tested and acceptable upon receipt for EPA 218.7, 300.1, 537, 539?
Yes No NA
Date and Time Received: 9/27/2016 18:30
Received by: Agustina Venegas
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